血清 AZD7442(tixagevimab-cilgavimab)浓度和体外 IC50 值可预测 SARS-CoV-2 中和抗体滴度。

IF 4.6 2区 医学 Q2 IMMUNOLOGY Clinical & Translational Immunology Pub Date : 2024-06-13 DOI:10.1002/cti2.1517
Lindsay E Clegg, Oleg Stepanov, Sam Matthews, Tom White, Seth Seegobin, Steven Thomas, Kevin M Tuffy, Mats Någård, Mark T Esser, Katie Streicher, Taylor S Cohen, Anastasia A Aksyuk
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引用次数: 0

摘要

目的:随着严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)的发展,有必要采用快速方法来评估单克隆抗体(mAb)对新变种的效价。真实病毒中和试验被认为是测量血清中病毒中和抗体(nAb)滴度的黄金标准。然而,基于真实病毒的检测方法在测量针对新出现的 SARS-CoV-2 变体的 nAb 滴度时面临固有的实际挑战(例如,储存传染性病毒和在生物安全三级设施中进行检测)。在此,我们展示了假病毒中和检测数据与血清 mAb 浓度相结合的效用,以有力地预测血清中的 nAb 滴度:方法:利用三项 AZD7442(tixagevimab-cilgavimab)研究的血清学数据,通过基于真病毒和慢病毒的假病毒中和检测确定 SARS-CoV-2 nAb 滴度:PROVENT(NCT04625725)、TACKLE(NCT04723394)和一期剂量范围研究(NCT04507256)的血清数据。AZD7442的血清浓度采用免疫捕获法进行评估。结果:通过基于真病毒和慢病毒的伪病毒中和试验测得的 nAb 滴度与 SARS-CoV-2 病毒祖先和 SARS-CoV-2 Alpha 的 nAb 滴度密切相关。对于多种 SARS-CoV-2 变体,血清 AZD7442 浓度和伪病毒 nAb 滴度密切相关,所有 Spearman 相关系数均≥ 0.78。血清 IC50 值与 AZD7442 的体外 IC50 值相似,适用于 SARS-CoV-2 祖先和 Alpha、Delta、Omicron BA.2 和 Omicron BA.4/5 变种:这些数据突出表明,血清 mAb 浓度和伪病毒体外 IC50 值可用于快速预测血清中新出现和历史 SARS-CoV-2 变体的 nAb 滴度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Serum AZD7442 (tixagevimab–cilgavimab) concentrations and in vitro IC50 values predict SARS-CoV-2 neutralising antibody titres

Objectives

The evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) necessitates rapid methods for assessing monoclonal antibody (mAb) potency against emerging variants. Authentic virus neutralisation assays are considered the gold standard for measuring virus-neutralising antibody (nAb) titres in serum. However, authentic virus-based assays pose inherent practical challenges for measuring nAb titres against emerging SARS-CoV-2 variants (e.g. storing infectious viruses and testing at biosafety level-3 facilities). Here, we demonstrate the utility of pseudovirus neutralisation assay data in conjunction with serum mAb concentrations to robustly predict nAb titres in serum.

Methods

SARS-CoV-2 nAb titres were determined via authentic- and lentiviral pseudovirus-based neutralisation assays using serological data from three AZD7442 (tixagevimab–cilgavimab) studies: PROVENT (NCT04625725), TACKLE (NCT04723394) and a phase 1 dose-ranging study (NCT04507256). AZD7442 serum concentrations were assessed using immunocapture. Serum-based half-maximal inhibitory concentration (IC50) values were derived from pseudovirus nAb titres and serum mAb concentrations, and compared with in vitro IC50 measurements.

Results

nAb titres measured via authentic- and lentiviral pseudovirus-based neutralisation assays were strongly correlated for the ancestral SARS-CoV-2 virus and SARS-CoV-2 Alpha. Serum AZD7442 concentrations and pseudovirus nAb titres were strongly correlated for multiple SARS-CoV-2 variants with all Spearman correlation coefficients ≥ 0.78. Serum-based IC50 values were similar to in vitro IC50 values for AZD7442, for ancestral SARS-CoV-2 and Alpha, Delta, Omicron BA.2 and Omicron BA.4/5 variants.

Conclusions

These data highlight that serum mAb concentrations and pseudovirus in vitro IC50 values can be used to rapidly predict nAb titres in serum for emerging and historical SARS-CoV-2 variants.

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来源期刊
Clinical & Translational Immunology
Clinical & Translational Immunology Medicine-Immunology and Allergy
CiteScore
12.00
自引率
1.70%
发文量
77
审稿时长
13 weeks
期刊介绍: Clinical & Translational Immunology is an open access, fully peer-reviewed journal devoted to publishing cutting-edge advances in biomedical research for scientists and physicians. The Journal covers fields including cancer biology, cardiovascular research, gene therapy, immunology, vaccine development and disease pathogenesis and therapy at the earliest phases of investigation.
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